Title
Seasonality of pathogens causing community-acquired pneumonia
Date Issued
01 May 2017
Access level
metadata only access
Resource Type
journal article
Author(s)
Ewig S.
Gabarrus A.
Ferrer M.
Puig de la Bella Casa J.
Mensa J.
Torres A.
Universidad de Barcelona
Publisher(s)
Blackwell Publishing
Abstract
Background and objective: Seasonal distribution of microbial aetiology in patients with community-acquired pneumonia (CAP) may add important information both for epidemiologists and clinicians. We investigate the seasonal distribution of microbial aetiology in CAP. Methods: This prospective observational study was carried out in the Hospital Clinic of Barcelona, Spain (January 2003–December 2014). Results: We studied 4431 patients with CAP, of whom 2689 (61%) were males. Microbial aetiology was identified in 1756 patients (40%). CAP was most frequent in winter (34%) but two-third of patients with CAP presented in other seasons. Seasonal variations included Streptococcus pneumoniae (winter 21% vs spring 17% vs summer 14% vs autumn 13%, overall P < 0.001). Influenza viruses were most prevalent in autumn (6%) and winter (5%) compared with spring (3%) and summer (1%) (overall P < 0.001). Legionella pneumophila was most frequent in autumn (4%) and summer (4%) compared with spring (2%) and winter (1%) (overall P < 0.001). Incidence of polymicrobial pneumonia also differed between seasons (winter 7% vs spring 5% vs summer 3% vs autumn 6%, overall P = 0.001). We observed a significant correlation between the lowest seasonal average temperature and polymicrobial pneumonia, pneumococcal pneumonia, and influenza viruses; conversely, L. pneumophila was more common when temperatures were higher. Conclusion: CAP should not be regarded as a seasonal disease but occurs throughout all seasons. However, S. pneumoniae, influenza viruses, polymicrobial pneumonia and L. pneumophila are clearly subject to seasonal variations.
Start page
778
End page
785
Volume
22
Issue
4
Language
English
OCDE Knowledge area
Patología Sistema respiratorio
Scopus EID
2-s2.0-85017301192
PubMed ID
Source
Respirology
ISSN of the container
13237799
Sponsor(s)
We are indebted to all medical and nursing colleagues for their assistance and cooperation in this study. Dr C.C. is recipient of a Short Term Fellowship by the European Respiratory Society.
Sources of information: Directorio de Producción Científica Scopus